Provider Demographics
NPI:1528359353
Name:AUTISM SERVICES FOR KIDS, LLC
Entity Type:Organization
Organization Name:AUTISM SERVICES FOR KIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:KATE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDERPLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-233-4231
Mailing Address - Street 1:2623 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4313
Mailing Address - Country:US
Mailing Address - Phone:216-233-4231
Mailing Address - Fax:
Practice Address - Street 1:2623 PRINCETON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4313
Practice Address - Country:US
Practice Address - Phone:216-233-4231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care